Prime Exposure Factors II By Professor Stelmark Primary Factors The primary exposure technique factors the radiographer selects on the control panel are milliamperage, time of exposure, and kilovoltage peak (kVp). Depending on the type of control panel, milliamperage and exposure time may be selected separately or combined as one factor, milliamperage/second (mAs). Regardless, it is important to understand how changing each separately or in combination affects the radiation reaching the IR and the radiographic image. • Milliamperage mA • Exposure time • Kilovoltage Milliamperage The Electric current is a flow of electric charge through a conductive medium. In electric circuits this charge is often carried by moving electrons in a wire The SI unit for measuring the rate of flow of electric charge is the ampere or milliampere. (1/1,000) In radiography mA controls the number of electrons in transit between cathode and anode per unit of time (second). mA setting is associated with the specific temperature of the filament and the number of electrons being liberated. mA is the unit of tube current. The higher the mA the more x-rays are produced 100 mA 400 mA mA 5 -600 mA A 3 -5 A mA affects the quantity of x-rays produced, it also affects the intensity and the total exposure or primary signal. mA is doubled – exposure is doubled – intensity is doubled. mA Exposure Rate Optical Density mA time mAs 50 1 sec 50 100 1 sec 100 200 1 sec 200 Exposure Time Duration of the tube current and radiographic exposure. How long the electrons are flowing between the cathode and the anode. The exposure time ids directly proportional to the number of x-rays generated. Exposure time affect the quantity of x-rays produced It does NOT affect the intensity Exposure time Exposure Optical Density mA time mAs 100 0.5 sec 50 100 1 sec 100 100 2 sec 200 The quantity of x-ray photons in an exposure cannot be determined by either the mA or the exposure time alone. Although mA determines the rate of x-ray production, it does not indicate the total quantity, because it does not indicate how long the exposure lasts. Exposure time does not indicate the total quantity either, because it does not measure the rate of x-ray production. To determine the quantity of radiation involved in an exposure, both mA and time must be considered. mA x Time (sec) = mAs 220 mA x 0.077 (sec) = 16.94mAs mAs Exposure Optical Density As the mAs is increased, the quantity of radiation reaching the IR is increased. As the mAs is decreased, the amount of radiation reaching the IR is decreased. Changes in mAs have a direct effect on density. A. Original image. B. Decreased in density when the mAs is decreased by half. C. Increase in density when the mAs is doubled. mAs is the primary controlling factor of the x-ray beam quantity mA time mAs 400 0.5 sec 200 300 1 sec 300 200 2 sec 400 mA time mAs 400 0.5 sec 200 200 1 sec 200 100 2 sec 200 mAs formula calculations mAs mA sec 10 mAs 200 mA 10 mAs/ 200 mA = 0.05 sec. sec 0.05sec x 1,000 = 50 ms 10 mAs mA 40 msec 40 ms = 40/1,000 = 0.04 s. 10 mAs/0.04 s = 250 mA mAs 200 mA 1sec 200 mA x 1 s = 200 mAs Kilovoltage When the kVp is increased at the control panel, a larger potential difference occurs in the x-ray tube, giving more electrons the kinetic energy to produce x-rays and increasing the kinetic energy overall. The result is more photons (quantity) and higher energy photons (quality). kV 30 – 150 kVp The kVp affects the exposure to the IR because it alters the amount and penetrating ability of the x-ray beam. Altering the penetrating power of the x-ray beam affects its absorption and transmission through the anatomic tissue being radiographed. Higher kVp increases the penetrating power of the x-ray beam and results in less absorption and more transmission in the anatomic tissues mAs is the primary controlling factor of the x-ray beam quality kVp2 Exposure rate Optical Density Primary Exposure Factors and Image Density mA increase mA decrease Analog System Time increase Time decrease kVp increase kVp decrease Primary Exposure Factors and Image Brightness mA increase mA decrease Time increase Same Digital System Time decrease kVp increase kVp decrease